Form T-13 "Gas Gross Production Tax Report" - North Dakota

What Is Form T-13?

This is a legal form that was released by the North Dakota Office of State Tax Commissioner - a government authority operating within North Dakota. Check the official instructions before completing and submitting the form.

Form Details:

  • Released on August 1, 2000;
  • The latest edition provided by the North Dakota Office of State Tax Commissioner;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of Form T-13 by clicking the link below or browse more documents and templates provided by the North Dakota Office of State Tax Commissioner.

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NORTH DAKOTA OFFICE OF STATE TAX COMMISSIONER
Form T-13
600 E. BOULEVARD AVE., BISMARCK, ND 58505-0599
(August 2000)
GAS GROSS PRODUCTION TAX REPORT
ORIGINAL
PRODUCER
(Check One)
(Check One)
AMENDED
PURCHASER
For Office Use Only
YEAR/MONTH
(i.e., 1999, 2000)
(i.e., 01, 12)
FEDERAL I.D. NUMBER
NAME
ADDRESS
PHONE
CITY
STATE/PROV.
ZIP CODE
For instruction booklet or forms contact the Office of State Tax Commissioner: 701-328-3593.
Hearing/speech impaired TTY users call Relay North Dakota 1-800-366-6888, ask for 701-328-3657.
You must attach all T-13 Worksheets to this Report.
GROSS PRODUCTION TAX
1.
Gross Production Tax Paid With Report ………………….….…………….…………...……………
Line 1 - Total from
Block 10 on T-13
2.
Penalty on Gross Production Tax ……………………………………………………
(See Instructions)…………….....…………
Worksheet
3.
Interest on Late Gross Production Tax …………..…….……
(See Instructions)………………..…………
4.
Total Due With This Report ...…..
(Add Lines 1, 2, and 3)………………………………….…………………..……………...………………….
5.
Tax Credits Claimed …….………..
(Enter as a positive value) ………………………………..……….….……………….………
6.
Total Gross Production Tax Remitted With This Report ………………..…...……….……..
(Line 4 minus Line 5) ……......
If Line 6 Results in Credit Balance, Apply to:
Credit
Refund
I declare under penalties of North Dakota Century Code Section 12.1-11.02, which provides for a Class A misdemeanor for making a false statement in a government
matter, that this report, including any accompanying schedules and statements has been examined by me and to the best of my knowledge and belief is a true, correct,
and complete report.
Report Prepared by:
Date:
(Please Print or Type)
Please Do Not Write In This Space
Check here if PAYMENT has been
submitted electronically.
NORTH DAKOTA OFFICE OF STATE TAX COMMISSIONER
Form T-13
600 E. BOULEVARD AVE., BISMARCK, ND 58505-0599
(August 2000)
GAS GROSS PRODUCTION TAX REPORT
ORIGINAL
PRODUCER
(Check One)
(Check One)
AMENDED
PURCHASER
For Office Use Only
YEAR/MONTH
(i.e., 1999, 2000)
(i.e., 01, 12)
FEDERAL I.D. NUMBER
NAME
ADDRESS
PHONE
CITY
STATE/PROV.
ZIP CODE
For instruction booklet or forms contact the Office of State Tax Commissioner: 701-328-3593.
Hearing/speech impaired TTY users call Relay North Dakota 1-800-366-6888, ask for 701-328-3657.
You must attach all T-13 Worksheets to this Report.
GROSS PRODUCTION TAX
1.
Gross Production Tax Paid With Report ………………….….…………….…………...……………
Line 1 - Total from
Block 10 on T-13
2.
Penalty on Gross Production Tax ……………………………………………………
(See Instructions)…………….....…………
Worksheet
3.
Interest on Late Gross Production Tax …………..…….……
(See Instructions)………………..…………
4.
Total Due With This Report ...…..
(Add Lines 1, 2, and 3)………………………………….…………………..……………...………………….
5.
Tax Credits Claimed …….………..
(Enter as a positive value) ………………………………..……….….……………….………
6.
Total Gross Production Tax Remitted With This Report ………………..…...……….……..
(Line 4 minus Line 5) ……......
If Line 6 Results in Credit Balance, Apply to:
Credit
Refund
I declare under penalties of North Dakota Century Code Section 12.1-11.02, which provides for a Class A misdemeanor for making a false statement in a government
matter, that this report, including any accompanying schedules and statements has been examined by me and to the best of my knowledge and belief is a true, correct,
and complete report.
Report Prepared by:
Date:
(Please Print or Type)
Please Do Not Write In This Space
Check here if PAYMENT has been
submitted electronically.
NORTH DAKOTA STATEMENT OF GAS PURCHASES/SALES
T-13 WORKSHEET - GAS
GROSS PRODUCTION TAX
(August 2000)
YEAR/MONTH
Page
of
(i.e., 1999, 2000)
(i.e., 01, 12)
FEDERAL I.D. NUMBER
TAXPAYER NAME
NATURAL GAS
RESIDUE RETURNED
CONDENSATE
EXEMPT ROYALTY
TAXABLE VOLUME
TAX
DELIVERED/SOLD
TO LEASE
REPORTED AS OIL
PERCENTAGE
MCF
PREVIOUSLY
MCF
MCF
MCF
(Decimal)
(Block 6 minus Block 8)
PAID
NET DELIVERED/SOLD
EXEMPT ROYALTY
TAX DUE
TAX PAID WITH
OTHER PARTY
NATURAL GAS RETURNED
LIQUIDS RETURNED
MCF
REPORT
(Block 1 Minus
(Block 9 X Rate
FEDERAL I.D.
TO LEASE MCF
TO LEASE
MCF
Blocks 2,3,4,&5)
Per MCF)
(Block 7 X Block 6)
(Block 10 minus Block 11)
NUMBER
1
3
5
7
9
11
15
2
4
6
8
10
12
16
API NUMBER
SEQUENCE #
WELL OR LEASE NAME
POOL CODE
WELLHEAD BTU
13
14
17
33 -
(
)
1
3
5
7
9
11
15
2
4
6
8
10
12
16
POOL CODE
WELLHEAD BTU
API NUMBER
SEQUENCE #
WELL OR LEASE NAME
13
14
17
33 -
(
)
1
3
5
7
9
11
15
2
4
6
8
10
12
16
API NUMBER
SEQUENCE #
WELL OR LEASE NAME
POOL CODE
WELLHEAD BTU
13
14
17
33 -
(
)
1
3
5
7
9
11
15
2
4
6
8
10
12
16
API NUMBER
SEQUENCE #
WELL OR LEASE NAME
POOL CODE
WELLHEAD BTU
13
14
17
33 -
(
)
Page Total - Sum of Block 12:
Page of 2